Doctor Name: | ALTHEA M PELLACK |
NPI Number: | 1902017908 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 02386 |
Business Practice Address: | 950 Office Park Rd Suite 100 West Des Moines, IA - 502652549 |
Business Phone Number: | 5152240979 |
Business Fax Number: | 5152233862 |
Mailing Address: | 1630 Kiwi Ave, BOONE |
State: | IA |
Postal Code: | 500367146 |
Phone Number: | 5152754977 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02386 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |